Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.18 / $3,038.00 / $4,387.00	Facility		$262.18	$3,038.00	$4,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.18 / $262.18 / $473.45	Professional		$262.18	$262.18	$473.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $231.23 / $294.58	Professional		$219.59	$231.23	$294.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $135.98 / $196.62	Professional		$117.51	$135.98	$196.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.65 / $315.75 / $371.47	Professional		$203.65	$315.75	$371.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,556.00 / $4,495.00	Facility		$1,078.00	$1,556.00	$4,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $188.00 / $336.96	Professional		$154.44	$188.00	$336.96